| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.70 | $138.61 | $212.07 | |
Hometown Health
| Professional | $0.70 | $138.61 | $207.92 |
Domicil/Rest Home New Pt Hi-Mod Sever 45 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $0.70 | $138.61 | $212.07 | |
Hometown Health
| Professional | $0.70 | $138.61 | $207.92 |